| NPI | 1871219832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BRYANT Owner 443-791-7148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-01-30 |